"Enter to Win a Free Hair Removal Treatment" Spring Cleaning...Summer is just around the Corner

Shanti MedSpa at The Institute for Advanced Skincare is a regional leader in providing safe, effective hair removal under the direct supervision of an our premise Board Certified physician medical director, Seema Patel MD, MPH, a Consumer's Research Council Top Doctor in America. Our proprietary Advanced Skincare System accurately assesses skin type and we have specific laser technologies for a variety of skin types. When it comes to the safety of your skin, we won't compromise...why should you.

"Special Drawing: Enter to Win a Free hair removal Treatment".

Everyone is eligible. Eligible candidates must meet the clinical criteria for our Laser Hair Removal program at The Institute for Advanced Skincare-Shanti Medspa.

Winner will receive one (1) hair removal session on a given region face, chest, arms, abdomen, upper or lower back. Legs are not included. Winning party has 90 (ninety) days from the time of drawing to redeem their prize. Offer expires August 2008. May not be combined with other offers.

Prize winner can redeem service during non peak hours of operation. Previous enter to win prize winners within 24 (twenty-four) months are not eligible.

* 2. What have you previously used to remove your unwanted hair? Please select all that apply (hold the ctrl key to select multiple options).

Nothing Waxing Tweezing Shaving Nair, Epilstop Bleaching

* 3. What color is your hair in the area you want to be treated?

Black
Brown
Blonde
Grey
White
Light Brown
Light Blonde
Red

* 4. What color is your skin in the area you want to be treated?

White
Brown
Black
Light Brown

* 5. Do you have a sun tan?

Tan
Slight Tan
No Tan

* 6. What is your skin type in the area you are considering to have laser hair removal?

Type I- Always burn, never tan (extremely fair skin/blond hair/blue/green eyes)
Type II- Usually burn, tan less than about average (fair skin, sandy brown to brown hair, green/blue eyes)
Type III- Sometimes mild burn, tan about average (medium skin, brown hair, green/brown eyes)
Type IV- Rarely burn, tan more than average (olive skin, brown/black hair, dark brown/black eyes)
Type V- Moderately pigmented, tans profusely (dark brown skin, black hair, black eyes)
Type VI-Deeply pigmented, never burns (black skin, black hair, black eyes)

* 7. Have you been on Accutane in the past 6 months?

Yes No

* 8. Are you currently on any medication?

Yes No

If yes, does it cause photosensitivity?

Yes No Not Sure

What is the name of the medication?

Any other questions you would like answered:

* 9.) Personal information. Please fill in the appropriate information for better service. All Information is Strictly Confidential!

* Name

* Address

* City

* State
Non US Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming D.C. Puerto Rico Virgin Islands Guam
* Province / Region (Outside U.S. Only)

* Zip Code/ Postal Code

* Country
USA Canada Bahama Islands United Kingdom Other
* Phone Number

* Email Address


* Would you like us to call you? (strictly confidential)
Yes No

* Would you like a free brochure mailed to you?
Yes No

* 10. What e-mail address would you like the analysis results sent to? E-mail must be provided to receive information!

Required fields are marked with an *. Make sure that all the required fields are filled out. Thank you.